Premium
ORTHOPAEDIC PROBLEMS OF RENAL TRANSPLANTATION
Author(s) -
HULBERT J.,
BROCKIS J. G.,
GlLMOUR W. N.,
GOLINGER D.,
HOUSE A. K.,
MERWYK A.
Publication year - 1979
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1979.tb06441.x
Subject(s) - medicine , aseptic necrosis , avascular necrosis , surgery , osteoporosis , transplantation , orthopedic surgery , aseptic processing , femoral head
One in six patients receiving renal transplants has orthopaedic problems. Osteoporosis with accompanying fractures is common, as is avascular necrosis of the hips, knees, and other bones. Immunosuppressive therapy with steroids is implicated and its mode of action discussed. No means of prophylaxis is known. If treated conservatively, aseptic necrosis of bone is much more disabling than is commonly believed as judged by the critical assessment technique of Charnley. The authors therefore recommend that a surgical approach should be adopted whenever possible.